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Medications Used In Palliative Care
Good alternative: Haldol (haloperidol) is the mainstay of the pharmacological treatment. It has better dosing titration (like every 15 min as needed) than quetiapine (every six hours as needed). Ideally, non pharmocological is the best way to reduce hyperactive delirium is to remove from noise and lines (like iv, ekg, oxygen monitoring, etc) and to start good lighting, hearing, one on one with family member and soothing music. ...Read more
The time to: Shift from exclusive focus on cure, to acceptance that cure is not possible, time to focus on quality, comfort and care is difficult for many. Today, evidence is pointing toward integrating comfort measures for pain, nausea, fatigue and sleep early during "cure care". Amazingly, people treated this way live longer, and more comfortably. It's what i would want! ...Read moreSee 2 more doctor answers
Not sure: I understand the question.. can you re submit with more details? ...Read more
What types of measures can we employ as health care administrators to alleviate the misdistribution of pcps?
See details: You can stop underpaying them and loading them up with administrative responsibilities. You should also stop trying to force them to see 40 patients a day if you employ them. As a rheumatologist, it does not surprise me that fewer and fewer medical school grads choose primary care, especially with an average education debt approaching 200k. ...Read more
Is palliative care only used for terminal patients or is it sometimes used to alleviate pain in.crtitical patients who are not necessarily terminal?
Anyone: They are professional managers of symptoms. This means if you are in a car accident at 25, you could visit a palliative doc for management of chronic pain associated. They provide recommendations not just for pain but also anything that can be treated to make someone feel better. Hospice pice is for patients with an estimated life-expectancy of 6 months or less. Sometimes they are the same doc ...Read more
A patient on chronic mao inhibitor's given sublingual nifedipine for hypertensive emergencies (never used in medicine!). Opinions?
Who makes purchasing decisions for pain management products in surgery, such as fentanyl patches? Anesthesiologist, hospital pharmacy dept, other?
Both ease symptoms!: Pallative care in a hospital is often delivered by a consulting team of clinicians, or in a specialized inpatient unit. Patients at any stage of illness can be helped by palliative care. Hospice is one form of palliative care that usually is delivered at home by a team of specialists, focused on the very last phase of life. ...Read moreSee 1 more doctor answer
Can phytoestrogens be safely used as a holistic option for fibroid treatment for someone in their 20s? And are topical as effective as oral supplement
A prescription, such as Zofran, (ondansetron) is commonly used for chemo and post surgical operations. Are they for use by the general population most times?
It depends...: It depends on the hospital course. If the person was admitted for a condition and treated but worsened during the hospitalization to the point that death was imminent, comfort care or hospice care may occur in the hospital. However, most hospitals will try and transfer people home or to a skilled nursing facility with hospice care if the person has a little longer to live. ...Read moreSee 1 more doctor answer
Hospice: Well, you may just need a palliative approach to care; comfort over cure. Hospice is palliative care in the last months of life. Discuss with your physician about working on your comfort or find a physician who is hospice and palliatively board-certified. It is unfortunate that cms has sort of defined hospice meaning palliative care for the last six months of life, but this is only an estimate. ...Read moreSee 3 more doctor answers
Variable training: Any licensed physician may prescribe psychiatric medications -- but training and experience in diagnosing, selecting medications for specific patients, and managing side effects, varies. People often receive medicines initially from their pcp's, but if treatment gets difficult, they refer. Psychiatrists take 4-year residencies to develop expertise; many also do additional fellowship training. ...Read moreSee 2 more doctor answers
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